| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
25,047 |
24,667 |
$1.05M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,110 |
4,095 |
$800K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,654 |
17,377 |
$152K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,888 |
1,869 |
$117K |
| E0570 |
Nebulizer, with compressor |
10,639 |
10,578 |
$86K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,774 |
2,737 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,815 |
1,775 |
$45K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
698 |
692 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,638 |
1,620 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
2,005 |
1,974 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
1,682 |
1,667 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
617 |
610 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,517 |
4,428 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
436 |
426 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,247 |
1,229 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
585 |
570 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,535 |
3,426 |
$4K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
285 |
279 |
$4K |
| K0001 |
Standard wheelchair |
166 |
163 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
165 |
163 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
115 |
113 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
332 |
327 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
13 |
12 |
$426.87 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
86 |
83 |
$406.32 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
24 |
24 |
$174.39 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
139 |
138 |
$57.09 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$16.45 |